Posterior subdeltoid and external rotators preserving approach for reduction and fixation of displaced extra-articular fractures of the scapula

Fandridis, Emmanouil; Anastasopoulos, P.; Alexiadis, George; Nomikarios, Dimitrios; Spyridonos, Sarantis; Hertel, R.

doi:10.1007/s00590-018-2157-3

Cited by 8 publications

(10 citation statements)

References 38 publications

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“…These patients had a mean adjusted age of 41.7 years (range 34-48.8) and a mean adjusted follow up time of 38.8 months, 253 were males and 85 females,138 were in right side and 125 in left side, as regard site of fracture mentioned in some studies were mainly in body (n.202), neck in (n.84) as shown Table 1. (9) 16 45.6 14\2 Right (n.9), left (n.7) Tatro et al (1) 37 45.4 29\8 93.6 ND Body (n.36), neck (n.1) Fandridis et al (10) 6 34 6\0 28 ND Yuan et al (11) 72 37.5 44\28 60.3 Right (n.40), left (n.32) Body Porcellini et al (12) 6 48.8 5\1 49.8 Right (n.2), left (n.4) Ao et al (13) 22 38 12\10 19.5 ND Schroder et al (2) 61 44 49\12 33 Right (n.27), left (n.34) Neck Lin et al (14) 13 38.7 6\7 24 Right (n.8), left (n.5) Jones et al (15) 31 42.6 27\4 Right (n.18), left (n.13) Body (n.12), neck (n.19) Cole et al (16) 5 44 3\2 39 Right (n.4), left (n.1) Bartoníček et al (5) 22…”

Section: Resultsunclassified

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Abdelsalam¹,

Elhewala²,

Elgendy³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Scapular fractures are a rare upper extremity injury brought on mostly by high-energy trauma. The bulk of these fractures are extra-articular. Un-displaced fractures can be successfully treated with conservative measures. However, displaced fractures do not produce excellent outcomes and require surgical intervention. Objective: The aim of the current study was to perform a review of literatures and meta-analysis on the function results of treating extra-articular scapular fractures.

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Section: Resultsunclassified

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Abdelsalam¹,

Elhewala²,

Elgendy³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…A DASH score between 0 and 29 is considered to be the point where the patient no longer considers their upper limb disorder is a problem (20). Past studies reported mean DASH score between 8.1 and 14 for all patients who underwent surgical interventions for scapular neck and body fractures (10,13,16,18,19,21). The patient-reported functional outcome using SF-36 questionnaire scored between 70 and 89.6 (comparable to normal healthy population 61 to 84), with exception to two subcategories, i.e., REE (role limitations due to emotional problems) and REP (role limitations due to physical health).…”

Section: Discussionmentioning

confidence: 99%

Open Reduction and Internal Fixation of Extraarticular Scapular Neck and Body Fractures With Good Short Term Functional Outcome

et al. 2019

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Background: The study aims to evaluate the short-term functional outcome of open reduction and internal fixation of extraarticular scapular neck and body fractures treated at our center over a period of 2-year duration at a tertiary referral center. Patients and Methods: Between October 2015 and October 2017, we operated on 20 extraarticular scapular neck and body fracture. Ten were available for a one-off assessment. The mean time to surgery was 10 days (range, 3-19 days) and one-off assessment was done within 6-24 months (mean, 13 months). Indications includes (1) medial/lateral displacement (M/L) ≥ 20 mm, (2) M/L ≥ 15 mm if angular deformity ≥ 30 • , (3) Angular deformity ≥ 45 • , (4) Double lesion of superior shoulder suspensory complex (SSSC), with displacement ≥10 mm in both lesion, (5) Glenopolar angle (GPA) ≤ 22 • , and (6) open scapular fracture. The functional outcome was measured using range motion and strength. Patient-reported outcome was assessed using Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and Short-Form-36 (SF-36) version 1. Results: All patients achieved radiological union at time of assessment. None of the patients had post-operative complications. The mean DASH score was 19.3 (range, 1.7-39.3). All subcategories of SF-36 questionnaire scores between 70 and 89.6, with exception to REE (role limitations due to emotional problems) and REP (role limitations due to physical health). The average range of motion for the injured shoulders; forward flexion 157 • , abduction 114 • , and external rotation 42 •. The strength of operated and non-operated shoulders, respectively, 6.5 and 8.1 kgF of forward flexion, 5.5 and 7.2 kgF of abduction, and 4.1 and 6.3 kgF of external rotation. Conclusion: Open reduction and internal fixation of surgically indicated scapular neck and body fracture is feasible with predictably good functional outcome. The reduced external rotation ROM and strength may be due to the use of Classic Judet approach, however we do not enough data to support this.

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“…Bei diesem Zugang kann im Vergleich zu anderen weichteilschonender gearbeitet werden, und es wurden exzellente Ergebnisse beschrieben [37].…”

Section: Brodsky-zugangunclassified

Skapulafrakturen

Hagebusch¹,

Wincheringer²,

Schweigkofler³

et al. 2019

Orthopädie und Unfallchirurgie up2date

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Posterior subdeltoid and external rotators preserving approach for reduction and fixation of displaced extra-articular fractures of the scapula

Abstract: Therapeutic study, IV.

Cited by 8 publications

References 38 publications

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Functional Outcome of Internal Fixation of Extra-Articular Scapular Fracture: A Systematic Review/ Meta-Analysis

Open Reduction and Internal Fixation of Extraarticular Scapular Neck and Body Fractures With Good Short Term Functional Outcome

Skapulafrakturen

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